Psychiatric Annals, 2013;43(11):496–501
Published Online:November 05, 2013https://doi.org/10.3928/00485713-20131105-04
Abstract
CME Educational Objectives
| 1. | Expose the reader to various sources of health care costs and diagnoses responsible for these. | ||||
| 2. | Review the evidence for multiple categories of cost reduction for intensive short-term dynamic psychotherapy (ISTDP). | ||||
| 3. | Review the return-to-work rates for patients receiving ISTDP treatment. | ||||
The health care burden of chronic disability, with mental illness and somatic symptom disorders leading the way, is crippling to global economies.1 In the recent JAMA report by the U.S. Burden of Disease Collaborators, the top diseases with the largest number of years lived with disability in 2010 were low back pain, major depressive disorder, other musculoskeletal disorders, neck pain, and anxiety disorders. Migraine, drug use, alcohol use and dysthymia were also in the top 20. The authors noted that half of the health system cost is due to disability and morbidity.1
- 1.U.S. Burden of Disease Collaborators. The State of U.S. Health, 1990–2010: Burden of Diseases, Injuries, and Risk Factors. JAMA. 2013; 310(6):591–608. Google Scholar
- 2.American Psychological Association. Recognition of Psychotherapy Effectiveness. Available at: www.apa.org/about/policy/resolution-psychotherapy.aspx. August2012. Google Scholar
- 3.Lazar SG. Psychotherapy Is Worth It: A Comprehensive Review of Its Cost-Effectiveness. Arlington, VA: American Psychiatric Publishing Inc.; 2010. Google Scholar
- 4.Davanloo H. Unlocking the Unconscious: Selected Papers of Habib Davanloo. Chichester, West Sussex, England: Wiley; 1990.. Google Scholar
- 5.Abbass A, Town JM, Driessen E. Intensive short-term dynamic psychotherapy: a systematic review and meta-analysis of outcome research. Harv Rev Psychiatry. 2012; 20(2):97–108.
10.3109/10673229.2012.677347 CrossrefGoogle Scholar - 6.Abbass A. Intensive short-term dynamic psychotherapy in a private psychiatric office: clinical and cost effectiveness. Am J Psychother. 2002; 56(2):252–232. Google Scholar
- 7.Abbass A, Lovas D, Purdy A. Direct diagnosis and management of emotional factors in chronic headache patients. Cephalalgia. 2008; 28(12):1305–1314.
10.1111/j.1468-2982.2008.01680.x CrossrefGoogle Scholar - 8.Abbass A. Office-based research in intensive short-term dynamic psychotherapy (ISTDP): data from the first 6 years of practice. Ad Hoc Bulletin of Short-term Dynamic Psychotherapy. 2002; 6(2):5–14. Google Scholar
- 9.Cornelissen K, Verheul R. Treatment outcome of residential treatment with ISTDP. Ad Hoc Bulletin of Short-term Dynamic Psychotherapy. 2002; 6:14–23. Google Scholar
- 10.Cornelissen K, Smeets D, Willemsen S, Busschbach JJV, Verheul R. Long-term follow-up of a residential form of intensive short-term dynamic psychotherapy in personality disorders. (In preparation) Google Scholar
- 11.Abbass A. Cost-effectiveness of short-term dynamic psychotherapy. Expert Rev Pharmacoecon Outcomes Res. 2003; 3(5):535–539.
10.1586/14737167.3.5.535 CrossrefGoogle Scholar - 12.Abbass A, Bernier D, Town J. Intensive Short-term dynamic psychotherapy associated with decreases in electroconvulsive therapy on adult acute care inpatient ward. Psychother Psychosom. 2013; in press.
10.1159/000350576 CrossrefGoogle Scholar - 13.Wiborg IM, Dahl AA. Does brief dynamic psychotherapy reduce relapse rate of panic disorder. Arch Gen Psychiatry. 1996; 53:689–694.
10.1001/archpsyc.1996.01830080041008 CrossrefGoogle Scholar - 14.Abbass A. Intensive short-term dynamic psychotherapy of treatment-resistant depression: a pilot study. Depress Anxiety. 2006; 23(7):449–452.
10.1002/da.20203 CrossrefGoogle Scholar - 15.Abbass A, Sheldon A, Gyra A, Kalpin A. Intensive short-term dynamic psychotherapy for DSM-IV personality disorders: a randomized controlled trial. J Nerv Ment Dis. 2008; 196(3):211–216.
10.1097/NMD.0b013e3181662ff0 CrossrefGoogle Scholar - 16.Abbass A, Joffres MR, Ogrodniczuk JS. A naturalistic study of intensive short-term dynamic psychotherapy trial therapy. Brief Treatment Crisis Intervention. 2008; 8(2):164–170.
10.1093/brief-treatment/mhn001 CrossrefGoogle Scholar - 17.Abbass A, Campbell S, Magee K, Tarzwell R. Intensive short-term dynamic psychotherapy to reduce rates of emergency department return visits for patients with medically unexplained symptoms: preliminary evidence from a pre-post intervention study. CJEM. 2009; 11(6):529–534. Google Scholar
- 18.Abbass A, Campbell S, Magee K, Lenzer I, Hann G, Tarzwell R. Cost savings of treatment of medically unexplained symptoms using intensive short-term dynamic psychotherapy (ISTDP) by a hospital emergency department. J Acad Med Psychol. 2010; 2(1):34–44. Google Scholar
- 19.Abbass A, Rasic D, Kisely S, Katzman J. Residency training in intensive short-term dynamic psychotherapy: methods and cost-effectiveness. Psychiatr Ann. 2013; 43(11):501–506. Google Scholar
- 20.Town JM, Abbass A, Bernier D. Effectiveness and cost-effectiveness of Davanloo’s intensive short-term dynamic psychotherapy: does unlocking the unconscious make a difference. Am J Psychother. 2013; 67(1):89–108. Google Scholar
- 21.Abbass A, Kisely S, Kroenke K. Short-term psychodynamic psychotherapy for somatic symptom disorders: a systematic review and meta-analysis. Psychother Psychosom. 2009; 78(5):265–274.
10.1159/000228247 CrossrefGoogle Scholar - 22.Diener MJ, Hilsenroth MJ, Weinberger J. Therapist affect focus and patient outcomes in psychodynamic psychotherapy: a meta-analysis. Am J Psychiatry. 2007; 164(6):936–941.
10.1176/appi.ajp.164.6.936 CrossrefGoogle Scholar - 23.Conroy M. Supporting an injured worker to return to work. Review commissioned by the Workplace Safety Initiative Dublin, Ireland. Available at: hwww.wsi.ie/Sectors/WSI/wsidoclib3.nsf/9d1880aeabc958bb80256edf004936cb/5a1a46b73f49d5ed802572cd00376a1c/$FILE/42094%20IBEC%20Retention%20Doc_interactive.pdf. Accessed Aug. 25, 2013. Google Scholar
- 24.Treasury Board of Canada Secretariat. Managing for Wellness: Disability Management Handbook for Managers in the Federal Public Service. Section 5.0 Support for Recovery. Available at: www.tbs-sct.gc.ca/hrh/dmi-igi/wds-mst/disability-incapacite07-eng.asp. Accessed on Accessed Aug. 25, 2013. Google Scholar
